Provider Demographics
NPI:1558542464
Name:ALLIANCE HHC & NURSING SERVICES, LLC
Entity Type:Organization
Organization Name:ALLIANCE HHC & NURSING SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBIN
Authorized Official - Middle Name:MOGENI
Authorized Official - Last Name:NYANGENA
Authorized Official - Suffix:
Authorized Official - Credentials:RN, BSN, MBA
Authorized Official - Phone:763-208-6295
Mailing Address - Street 1:10405 6TH AVE N STE 105
Mailing Address - Street 2:
Mailing Address - City:PLYMOUTH
Mailing Address - State:MN
Mailing Address - Zip Code:55441-6302
Mailing Address - Country:US
Mailing Address - Phone:763-442-7139
Mailing Address - Fax:763-355-5459
Practice Address - Street 1:10405 6TH AVE N STE 105
Practice Address - Street 2:
Practice Address - City:PLYMOUTH
Practice Address - State:MN
Practice Address - Zip Code:55441-6302
Practice Address - Country:US
Practice Address - Phone:763-442-7139
Practice Address - Fax:763-355-5459
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-19
Last Update Date:2024-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN337684251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MNA604607100Medicaid
MNA604607100Medicaid